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World Journal of Surgery

Published in:

01-01-2013

Use of a Transanal Drainage Tube for Prevention of Anastomotic Leakage and Bleeding after Anterior Resection for Rectal Cancer

Authors: Wen-Tao Zhao, Feng-Liang Hu, Yu-Ying Li, Hong-Jie Li, Wei-Ming Luo, Feng Sun

Published in: World Journal of Surgery | Issue 1/2013

Abstract

Background

The aim of the present study was to investigate the usefulness of the transanal drainage tube for prevention of anastomotic leakage and bleeding after anterior resection for rectal cancer.

Methods

Between January 2007 and May 2011 a nonrandomized prospective study of patients undergoing anterior resection for rectal cancer was done. The patients were divided into the transanal drainage tube (TDT) and non-transanal drainage tube (NTDT) groups according to whether the transanal drainage tube was used in the operation. Clinical characteristics and postoperative complications were compared between the TDT and NTDT groups.

Results

The study included 81 patients in the TDT group and 77 patients in the NTDT group. In the TDT group, anastomotic leakage occurred in 2 patients and no anastomotic bleeding occurred. In the NTDT group, anastomotic leakage occurred in 7 patients and anastomotic bleeding occurred in 2 patients. The TDT group had significantly fewer anastomotic complications compared with the NTDT group (2.5 vs 11.7 %; P = 0.029). Furthermore, the TDT group showed an obvious reduction in the rate of anastomotic leakage and anastomotic bleeding compared with the NTDT group (2.5 vs 7.8 % and 0.0 vs 2.6 %), but because the number of cases is relatively small, the difference did not reach statistical significance (P = 0.160 and P = 0.236).

Conclusions

The use of a transanal drainage tube in anterior resection for rectal cancer may be a simple, safe, and effective means of preventing or reducing the occurrence of anastomotic leakage and bleeding. A larger-scale single or multi-center prospective randomized study or a meta-analysis including similar studies is necessary for further elucidation of this issue.

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Title: Use of a Transanal Drainage Tube for Prevention of Anastomotic Leakage and Bleeding after Anterior Resection for Rectal Cancer
Authors: Wen-Tao Zhao
Feng-Liang Hu
Yu-Ying Li
Hong-Jie Li
Wei-Ming Luo
Feng Sun
Publication date: 01-01-2013
Publisher: Springer-Verlag
Published in: World Journal of Surgery / Issue 1/2013
Print ISSN: 0364-2313
Electronic ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-012-1812-9

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Use of a Transanal Drainage Tube for Prevention of Anastomotic Leakage and Bleeding after Anterior Resection for Rectal Cancer

Abstract

Background

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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